DROWN IM;. 211 



The above directions are chiefly Dr. H. R. Silvester's method of restor- 

 ing the apparently dead or drowned, and have been approved by the 

 Royal Medical and Chirurgical Society. 



IV. TREATMENT AFTER NATURAL BREATHING HAS BEEN RESTORED. 

 1. To promote warmth and circulation. 



Wrap the patient in dry blankets, commence rubbing the limbs upwards, 

 with firm grasping pressure and energy, using handkerchiefs, flannels, 

 (By this means the blood is propelled along the veins towards the heart.) 



The friction must be continued under the blanket or over the dry 

 clothing. 



1. Promote the warmth of the body by the application of hot flannels, 

 bottles, or bladders of hot water, heated bricks, &c., to the pit of the sto- 

 mach, the arm-pits, between the thighs, and to the soles of the feet 

 Warm clothing may generally be obtained from bystanders. 



2. If the patient has been carried to a house after respiration has been 

 restored, be careful to let the air play freely about the room. 



3. On the restoration of life, when the power of swallowing has re- 

 turned, a tablespoonful of warm water, small quantities of wine, warm 

 brandy and water, or coffee, should be administered. The patient should 

 be kept in bed, and a disposition to sleep encouraged. During reaction, 

 large mustard plasters to the chest below the shoulders will greatly re- 

 lieve the distressed breathing. 



V. GENERAL OBSERVATIONS. 



The above treatment should be continued for some hours, as it is an er- 

 roneous opinion that persons are irrecoverable because life does not soon 

 make its appearance, persons having been restored after persevering for 

 many hours. 



VI. AlMM .AltANVKS WHICH GENERALLY INDICATE DEATH FROM DROWN- 

 ING. 



Breathing lad the heart's action cease entirely; the eyelids are gene- 

 rally half elns.-o! ; tin- pupils dilatnl ; the JSW8 etenotad ] tin- tin^M-s semi- 

 contracted ; the tongue approaches to the un<ler edges of the lip*;, and 



^Q, as we! , are covered with a frothy mucus. < 



and pallor nf Mirfa<v inert-ase. 



